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General NPI Number Information
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NPI Number | 1588421754
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Entity Type | Organization
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Legal Business Name | HY MEDICAL PC
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Dates
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Enumeration Date | 03/04/2024
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Last Update Date | 03/04/2024
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Provider Practice Location Address
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Address Line | 1600 STEWART AVE STE 105
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City | WESTBURY
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State | NY
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Zip | 11590-6611
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Country | US
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Telephone | 516-833-5505
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Fax | 516-833-5566
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Provider Business Mailing Address
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Address Line | 33 OLD WHEATLEY RD
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City | GLEN HEAD
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State | NY
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Zip | 11545-2611
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Country | US
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Telephone | 516-833-5505
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Fax | 516-833-5566
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Authorized Official
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Title or Position | OWNER
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Name | HIMABINDU YALAMANCHILI
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Credential | MD
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Telephone | 516-833-5505
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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License Number |
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License Number State |
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